Dusek, Kelly Sanders
Dusek, Kelly Sanders is an individual health care provider with primary practice located at 2233 Deerfield Dr , Fort Mill SC 29715-6941. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dusek, Kelly Sanders can be contacted via phone (803) 835-3775.Contact Information
Primary practice address
2233 Deerfield Dr
Fort Mill SC 29715-6941
Phone: (803) 835-3775
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 101YS0200X | North Carolina | |
Behavioral Health & Social Service Providers / School | 101YS0200X | South Carolina | |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 7006 | South Carolina |
Profile Details
NPI number | 1952966681 |
---|---|
LBN Legal business name | Dusek, Kelly Sanders |
Credentials | LPCA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 8th, 2019 |
Last updated | Mar 29th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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